TYLER JOHN RUNDE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

TYLER

Middle

JOHN

Last Name

RUNDE

Business Name

TYLER JOHN RUNDE DO

Original Issue Date

09/18/2018

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

JANESVILLE

State

Zip

53548

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023